| Ishaqsei Md Pllc | |
|
7493 Kennington Blvd West Bloomfield MI 48322-3181 | |
| (248) 470-1325 | |
| Not Available |
| Full Name | Ishaqsei Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7493 Kennington Blvd, West Bloomfield, Michigan |
| Authorized Official Name and Position | Wahed Ishaqsei (PRESIDENT) |
| Authorized Official Contact | 2484701325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ishaqsei Md Pllc 7493 Kennington Blvd West Bloomfield MI 48322-3181 Ph: () - | Ishaqsei Md Pllc 7493 Kennington Blvd West Bloomfield MI 48322-3181 Ph: (248) 470-1325 |
| NPI Number | 1659819639 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 02/09/2017 |
| Medicare PECOS PAC ID | 6901189869 |
|---|---|
| Medicare Enrollment ID | O20170220001951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659819639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301080522 (Michigan) | Primary |
| Provider Name | Wahed Ishaqsei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063423176 PECOS PAC ID: 8527068360 Enrollment ID: I20070102000139 |
| Provider Name | Celestine V Ford-cattaneo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437207271 PECOS PAC ID: 0648450635 Enrollment ID: I20110208000801 |
| Provider Name | Toyia S Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932525524 PECOS PAC ID: 9931332152 Enrollment ID: I20140423002087 |
| Provider Name | Emmanuel Tolentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376934158 PECOS PAC ID: 6204156680 Enrollment ID: I20150527000283 |
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